Table of content

Basrah Journal of Surgery

مجلة البصرة الجراحية

ISSN: 16833589
Publisher: Basrah University
Faculty: Medicine
Language: English

This journal is Open Access

About

Basrah Journal of Surgery


Editor-in- chief

Prof. Thamer A. Hamdan, FRCS
Prof. Salam N. Asfar, MSc

Information Administrator

Dr. Jasim M. Salman, MB,ChB, DA, FICMS

Associate Editors

Dr. Hashim S. Khayat, FRCS

Prof. Mazin H. Al-Hawaz, CABS, FRCS

Prof. Zeki A. Al-Faddagh, CABS, FRCS

Prof. Issam Merdan CABS, FICMS

Assist. Prof. Ali A. Alshawi, FFDRCSI, FDSRCS

Assist. Prof. Mazin Abdulsattar, CABS

Dr. Zuhair Al-Barazanchi, MSc, PhD



National Advisory Board



Prof. Ahmad M Al-Abbasi, FRCS

Prof. Abdulla M. Jawad, PhD

Dr. Hasan K. Muhamed, FRCS

Assist. Prof. Tahir A Hawrami, DS, CABS

Assist. Prof. Farhad K. Sulayvani, CABS

Prof. Hassan J Hasony, MPhil, PhD

Prof. Nadhim K. Mahdi, PhD



International Advisory Board











Dr. Majeed H Alwan, FRCS, New Zealand

Dr. Luay P Susan, MD, Cleveland, Ohio, USA

Prof. Stewart L Weinstein, MD, USA, Former president AAOS

Dr. Robert W Buchoiz, MD, USA, Former President AAOS

Dr. Cody Bünger, MD, USA, President SICOT

Dr. Scott A Hoffinger, MD, Oakland, CA, USA

Dr. Sebastian Gitter, Dr.med. Biberach, Germany

Dr. Alec Benjamin, FRCS, UK

Prof. W Al-Ma’ani, MD, Jordan

Prof. K Fathie, MD, FACS, USA

Prof. Hikmat Jamil, MD, PhD, USA

Prof. Wajdy L Haillo, MD, PhD, USA

Mr. David Gallaway, PhD, FRCS

Dr. Rick Wilkerson, MD, USA

Dr. Sabri Shukur, FDSRS, USA

Prof. Gary Selnow, USA

Dr. John Howe, USA

Dr. Karim A Shaikley, MD, USA

Dr. John Chalmers, FRCS, UK

Dr. J Frazer, MD, USA

Dr. M Zayer, MD, Sweden

Dr. S Al-Bodur, MD, Jordan




Administrative Secretary

Ms. Elham Altoma
Ms. Salima J Sa’ad
Instructions to Authors

Basrah Journal of Surgery publishes original articles, review articles, leading articles and case reports; all manuscripts are submitted to editorial review. Authors are requested to send two copies of their articles and other editorial material to:

The Editor
Basrah Journal of Surgery, Dept. of Surgery, College of Medicine, University of Basrah. IRAQ.
salamasfar@yahoo.com
OR basjsurg95@yahoo.com
An article is reviewed for publication on the understanding that the work it reports has not been submitted simultaneously to another journal, has not been accepted for publication by another journal, has not been accepted for publication by another journal nor has it been already published. Any such attempt, when detected, will result in automatic rejection and may prejudice acceptance of future contributions. The articles and their illustrations become property of the journal. The editorial board does not necessarily agree with views expressed by the authors.
A covering letter must accompany all submissions and must be signed by all authors. The first named author is responsible for ensuring that all authors have seen and approved the manuscript and are fully conversant with its contents.
Authors should consult “uniform requirements for manuscripts submitted to biomedical journals” produced by the international committee of medical Journal Editors and published in the British Medical Journal, 6 February 1988, 401-5. Only manuscripts, which comply with this, the Vancouver style, will be considered. The text of the articles is usually divided into sections with the headings, Summary (abstract), Introduc-tion, Methods, Results and Discussion. Long articles may need subheadings within some sections to clarify its content. Two good quality plain paper copies of all written and tubular material should be submitted. The manuscript must be typed double-spaced with a minimum of 3cm margins on A4 paper (210 × 297 mm) in the following order:
1. Title page with name of the author(s). The appointment of each author at the time of performance of the work reported should be mentioned; if an author has since moved then his new address is to be added as footnote. Authors names should be mentioned up to six, if there are more authors then the first three are mentioned followed by “et al.”.
2. Summary should be concise, complete in itself and outline the aim, results and conclusions of the paper. Randomized controlled trials should be identified.
3. The text of all articles should be short and to the point.
4. References should be numbered according to their sequence in the text and not alphabetically. They should be written down in compliance with Vancouver style; i.e.
A) Journal: Ferguson AJ, Mazier WP, Ganchrow MI, Friend WG. The closed technique of haemorrhoidectomy. Surgery 1971; 70: 480.
B) Book: Golgberg SM, Nivato-vongs S, Rothenberger DA, Colon, Rectum and Anus. In: Schwartz SI, Shire GT, Spencer FC, eds. Principles of surgery. 4th ed. Singapore: MacGraw Hill; 1984.
5. Tables should be separately typed each on one sheet and must have a Roman identifying number and a short descriptive title.
6. Illustrations should be submitted in duplicate. Photographs must be of the highest professional quality. Original line drawings may be sent instead of photographs. Never write on the front or back of drawing or photographs.
7. Pagination, all pages should be numbered in the sequence, title page, summary, text, acknowledgment, references, tables and legends for illustrations.
8. Abbreviations should be limited in the text. Terms, which are mentioned frequently, may be abbreviated, and clearly defined on first use.
9. Statistical analysis should include a clear description of which methods were used for which analysis. Results of statistical tests should be reported by stating the value of the test statistic, the number of degrees of freedom and the P value. For example, t=1.34, 16 d.f., p=0.2. There should also be an indication whether the results were statistically significant or not.
10. It is preferable to provide the manuscript on a compact disc using MS Word 2003 version.




Checklist for authors
1-Covering letter.
2-Two copies of the article.
3-Writing style according to the Vancouver style.
4-Tables, graphs and legends for the photos each on separate sheet of paper.
5-A copy of the article on a compact disc.


Announcement
The editorial board would like to inform our readers that the journal has been included in the Index Medicus for the WHO Eastern Mediterranean Region (IMEMR) starting from the March, 1999 issue (Vol.5, No.1). This issue as well as all forthcoming issues of the journal will appear in WHO/EMRO web site on the Internet at the address http://www.who.sci.eg The journal was also included in the collection of the National Library of Medicine, Bethesda, Maryland starting from the same issue (i.e. Vol.5, No. 1) as we were informed by the National Institutions of Health in their letter dated February 2, 2000.

Website: http://basjsurge.com email: basjsurg95@yahoo.com

Mobile: 009647801061850 Editor 009647801018133 Information Administrator

مجلة البصرة الجراحية 2015

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Contact info

Website: http://sites.google.com/site/basjsurg email:basjsurg95@yahoo.com, elhamaltoma74@gmail.com
Mobile: 009647801061850 Editor 009647801002992 Editorial Consultant
009647801537124 Secretary

The Editor: Basrah Journal of Surgery, Dept. of Surgery, College of Medicine, University of Basrah. IRAQ.
salamasfar@yahoo.com, OR basjsurg95@yahoo.com

Table of content: 2003 volume:9 issue:2

Article
Editorial: THINKING ABOUT THINKING

Authors: Thamer A Hamdan
Pages: 135-136
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Abstract

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Article
COX-2 SPECIFIC INHIBITORS (COXIBS) CRISIS

Authors: Abbas Ali Mansour
Pages: 137-143
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Abstract

Nonsteroidal anti-inflammatory drugs (NSAIDs) represent the most frequently prescribed medicine in the world. Their main disadvantages were related to their effect on the gut and kidney. Since the early 80s of the last century, drugs manufacturers try to discover a NSAIDs which does not affect the gut and kidney .The gut toxicity may be decrease by concomitant use of antisecretery agents, but this increase their cost and decrease the compliance. The fully selective cyclooxygenase inhibitors has been introduced recently as an alternative to old generation NSAIDs.Unfortunaltly subsequent long-term evaluation produced disappointing results, and opened the door for a lot of discussion and controversies.

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Article
THE BIOPHYSICS AND PATHOPHYSIOLOGY OF MISSILE INJURY

Authors: Ali A Alwan
Pages: 144-152
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Article
THE VALUE OF ULTRASOUND GUIDED PERCUTANEOUS ANTEGRADE PYELOGRAPHY IN THE DIAGNOSIS OF OBSTRUCTIVE UROPATHY

Authors: Assal B. Shindi
Pages: 153-158
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Abstract

Twenty-one patients with non-visualized kidney on intravenous urography (IVU), whose ultrasound (US) examinations showed moderate to severe hydronephrosis (3 of them subjected to non-conclusive retrograde uretropyelography), were included in this study. All of them underwent percutaneous antegrade pyelography (PAGP) under US guidance at Radiology Department, Saddam Teaching Hospital, Basah, form January 2000 to January 2002. Ninty-five percent of them had satisfactory and conclusive results; nine cases with radiolucent stones, 5 with congenital pelvi-ureteric junction (PUJ) obstruction, 5 with ureteric strictures and one case with severe hydrocalyces and contracted pelvis that was proved to be tuberculosis of the kidney. On the other hand, the technique failed in one case. The study included 15 males and 6 females, their ages ranged between 12-71 years and the mean age was 45 years. No complication was recorded. We conclude that this procedure is a relatively simple, safe, and useful technique to visualize the renal collecting system in certain cases allowing the surgeon to choose a more suitable operative approach for that particular condition.

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Article
MALIGNANT THYROID DISEASE: A REPORT FROM ONE MAJOR HOSPITAL IN BASRAH

Authors: Bayan H. Al-Hakiem
Pages: 159-163
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Abstract

This is a retrospective study, reviewing all surgically treated thyroid conditions in the period between September 1998 to September 2001. The results showed that the incidence of malignant thyroid conditions is 6.6%, and that papillary carcinoma is the most common thyroid cancer having an incidence of 82%. All patients presented with the complaint of neck swelling, in no patient manifestations of systemic dissemination found. Fine needle aspiration cytology was available for 11(39%) patients and was diagnostic in 7(63%) and highly suspicious in 4(37%). The number of re-operations was 9 (32%) and was always due to no use of FNAC in patients with multi-nodularity of one lobe. Thyroid carcinoma is not uncommon in our district. Preoperative diagnosis by more use of FNAC will decrease the incidence of re-operations that are more complicated than first operation.

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Article
HAEMORRHOIDECTOMY: NEW MODIFICATION

Authors: Haytham Al-Najafi
Pages: 164-166
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Abstract

This is a prospective study designed for the evaluation of the results of a modified surgical technique for the treatment of third and forth degree hemorrhoids in comparison with the classical milligan Morgan procedure. It was conducted during the period from January 1996 to January 2002 at Alzahrawi Hospital in Mosul. Three hundreds ninety-five patients with third and fourth degree hemorrhoids were randomized into two groups, the first one included 200 patients (120 male and 80 female), they were operated upon by our modified surgical technique, while the second group included 195 patients (110 male and 85 female), they were operated upon using Milligan Morgan procedure. Both groups had the same age sex distribution and clinical presentation. The same pre and postoperative care was applied to both groups, as well as the type of anesthesia and operative position. The early and late postoperative complications and follow-up were recorded and compared. It is concluded that the modified surgical technique that we used for third and fourth degree hemorrhoids gave less early and post operative complications, there were shorter convalescence period and hospitalization, with shorter healing time, and we advocate it for the treatment of third and fourth degree hemorrhoids.

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Article
SERUM CREATINE KINASE ACTIVITY IN THYROID DYSFUNCTION

Authors: Yasin A. Baqir
Pages: 167-170
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Abstract

The serum activity of creatine kinase was determined in 52 patients with hypothyroidism (19 males and 33 females), 110 patients with hyperthyroidism (27 males and 83 females) and 187 control subjects (47 males and 140 females). The creatine kinase activity in patients with hypothyroidism was on the average significantly higher than controls (p<0.005). In hyperthyroid patients, although the serum activity of creatine kinase was significantly lower as compared with controls, however, it is within the normal range. Hypothyroidism should be put into consideration in patients presented with symptoms suggestive of cardiovascular abnormality without other evidence of myocardial damage and have raised creatine kinase activity.

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Article
DIAGNOSTIC VALUE OF ULTRASOUND IN INFANTILE HYPERTROPHIC PYLORIC STENOSIS

Authors: Nawfal S Daood
Pages: 171-174
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Abstract

Infantile hypertrophic pyloric stenosis was described for the first time at the end of the 19th century, yet, its etiology and pathogenesis are largely obscure to date. This study retrospectively investigates 35 children who presented to Baghdad Central Teaching Hospital for Children with upper gastrointestinal tract obstruction suggestive of the disease. The clinical features, investigation and outcome are discussed.

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Article
EFFECT OF CIPROFLOXACIN ON SEMEN ANALYSIS IN HUMAN HEALTHY VOLINTEERS

Authors: Sofik V. Vartan
Pages: 175-178
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Abstract

The effect of ciprofloxacin treatment on semen analysis was studied. Six apparently healthy volunteers with age ranging from 30-51 years were included in this study. Ciprofloxacin tablet (500 mg) was given to each volunteer twice daily for 14 days. Semen analysis was performed for them before ciprofloxacin treatment and 2,4 and 6 weeks after treatment. Four weeks after treatment, there was a statistically significant reduction in total sperm count by 53.4% (from 157.16 ± 23.7 to 73.17 ± 19 millions, p < 0.001), in percentage of actively motile sperms by 40.5% (from 35±7.06 to 20.83± 5.23, p<0.001) and in percentage of viable sperms by 15.2% (from 67.6 ± 6.01 to 57.33± 9.48, p < 0.025). It is concluded that administration of ciprofloxacin (500 mg x 2 for 2 weeks) had, therefore, resulted in a significant reduction of various parameters of semen analysis. A finding, if proved to be true, should be taken in consideration during ciprofloxacin treatment for any type of infection in males.

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Article
MEDICAL LESSON FROM THE OPERATION IRAQI FREEDOM

Authors: Thamer A Hamdan
Pages: 179-184
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Abstract

A critical prospective analysis was conducted for the missile injuries of the extremities in Basrah University Department of Orthopaedic Surgery at the time of operation Iraqi Freedom (20th of March – 20th of April 2003). The wounds were classified into four grades according to the severity of the injuries. Wound closure was performed primarily in 20 (16%), secondarily in 44 (35.2%) while skin graft was necessary for 36 (28.8%) patients. Although the transportation time was less than two hours, the injuries were severe because of the close proximity of shortening. Collapses of the old houses in Basrah were responsible for the associated closed or open injuries. Primary wound excision was insufficient in 37(27%) patient, this was related to the lack of experience by the junior staff, and was the reason behind the high incidence of wound infection which was recorded in 78 (56.93%) patients. Compound fractures were recorded in 66 (48.17%) patients, soft tissue injuries were noticed in 43 (31.38%), while amputation was the final outcome in 24 (17.5%) patients. The injurious agents were fragments of shell in 74 (54.01%), bullets in 34 (24.81%) while closed injuries were noticed in 12 (8.65%) patients. The fractures were immbolished by external fixation in 24 (9.48%), temporary internal splint in 13 (9.48%), gypsona in 29 (21.16%). The mortality rate was 4.83%. The infection rate and other complications could have been lower if war surgical principles were accepted and performed precisely in the management.

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Article
WOUND INFECTION FOLLOWING CESAREAN SECTION

Authors: M. AL-Sabbak
Pages: 185-190
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A Retrospective case-control study conducted in Basrah maternity and child hospital during the period from December 2001 till September 2002. It aims at evaluating cases of wound infection in Basrah Maternity and Children hospital and comparing them to different variables, like, age, parity, medical illnesses, previous obstetric history and educational status. It included 139 patients (case and control), with an age range of 18-43 year and a parity range of 1-8. Out of 1670 parturient patients whose deliveries ended with cesarean section (elective and emergency) during the period of our study, 139 patients were included in our study. There were 49 cases of wound infection and 90 cases who were taken as control. Different variables were also studied as obesity, diabetes, anemia and social class.

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Article
SPONTANEOUS EXPECTORATION OF MALIGNANT TISSUES

Authors: Hussein A. Alchalabi
Pages: 191-192
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Article
LOCAL-FOCAL NECROTIZING HAEMORRHAGIC ACUTE PANCREATITIS: A CASE REPORT AND REVIEW OF LITERATURE

Authors: Mahmood A.H. Salih
Pages: 193-196
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A rare case of a twenty-six years old male, presented to emergency department of Mosul General Hospital in Mosul, as acute abdomen, on exploration, acute local- focal necrotizing pancreatitis was found, presented as a tumour like swelling related to the distal part of pancreas, treated by necrosectomy (distal pancreatectomy), followed-up for 10 years without any sequelae, complications or recurrence. The present report documents a careful necrosectomy as the basic principle of surgical management of patients with focal necrotizing pancreatitis, which was supported by many other reports, published recently abroad.

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Article
GIGANTOMASTIA WITH PREGNANCY, A CASE REPORT AND A REVIEW OF LITERATURE

Authors: Zuhair F. Fathallah
Pages: 197-200
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Gigantomastia or “Gravidic macromastia” during pregnancy is a massive diffuse enlargement of the breast during gestational period. It is a rare condition of undetermined aetiology, which may be due to hormonal excess, or hypersensitivity of the target organ to normal hormonal level. Histologically it is due to glandular hyperplasia with an increase in connective tissue. This paper reports an unusual case of gigantomastia in 22 years old lady, who is gravida 2, para nil, with total breast weight of 15,850 kg. Ulceration and haemorrhage of the breasts complicated the picture and end in abortion followed by subtotal mastectomy and free implantation of nipple areola complex.

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Article
Obituary: DR. ABDULLA H. AL-FADHIL

Authors: H.S.K.
Pages: 201-201
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Table of content: volume: issue: